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180-b A.o. Rappelet Road Golden Meadow LA 70357 | |
(985) 396-5250 | |
(985) 396-5252 |
Full Name | |
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Speciality | Family Medicine |
Location | 180-b A.o. Rappelet Road, Golden Meadow, Louisiana |
Authorized Official Name and Position | Tad A Lafont (CHIEF CLINIC OFFICER) |
Authorized Official Contact | 9853259300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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200 W 134th Pl Cut Off LA 70345-4143 Ph: (985) 325-9300 | 180-b A.o. Rappelet Road Golden Meadow LA 70357 Ph: (985) 396-5250 |
NPI Number | 1285083154 |
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Provider Enumeration Date | 06/10/2016 |
Last Update Date | 01/11/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285083154 | NPI | - | NPPES |
2436490 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |